SHAMIM ANWAR (MD) – Psychiatry Physician, NPI 1104916352

SHAMIM ANWAR (MD) is a healthcare provider. based in Wausau, Wisconsin. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 50136 (WI). The NPI Number for SHAMIM ANWAR (MD) is 1104916352

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
SHAMIM ANWAR (MD)
NPI
1104916352
Phone
(715) 848-4600
Address
1100 LAKE VIEW DR
Enumeration Date
16 October 2006
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207292030
Graduation Year
1984 (42 years ago)
PAC ID
3476659723
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20070502000333
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SHAMIM ANWAR (MD)

  • North Central Health Care-Wausau Campus, 1100, Lake View Drive, Wausau, Marathon County, Wisconsin, 54403, United States

    WAUSAU, WI 544036799

    Phone: (715) 848-4600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070502000333IPsychiatryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I cross-check SHAMIM ANWAR (MD) using NPI 1104916352?
NPI 1104916352 belongs to SHAMIM ANWAR (MD); compare other details if you need extra assurance.
Is there an active status for SHAMIM ANWAR (MD)?
For scheduling context, SHAMIM ANWAR (MD) is shown as active in the registry.
What kind of doctor is SHAMIM ANWAR (MD)?
SHAMIM ANWAR (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SHAMIM ANWAR (MD) associated with Wausau?
Public fields place SHAMIM ANWAR (MD) around Wausau, Wisconsin. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SHAMIM ANWAR (MD) is noted as October 16, 2006 where the registry provides it.

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